Risk Factors

The risk factors are as follows:

• Delay in wound closure exceeding 24 (36) h [7, 18].

• Injury with soil contamination, whether this happened on a farm or in the home garden.2

• Even indirect contact with soil represents an increased risk: open globe trauma caused by barbed wire has been reported to involve a 38% endophthalmitis incidence [16].

2 The term "rural setting" is misleading since soil contamination may occur in urban settings as well.

• Presence of an IOFB (see Chap. 2.13), especially if it is of organic matter.

• Lens injury [7], especially if associated with older age [18, 19].

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